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Organization
ARS OF EPHRATA LLC
Active
Organization
ARS OF EPHRATA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVIEVE KING (COO)
(484) 731-2500
Entity
Organization
Contact information
Practice address
11 S STATE ST, EPHRATA, PA 17522-2410
(717) 740-6910
Mailing address
150 ONIX DR, KENNETT SQUARE, PA 19348-1886
(302) 598-2043
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM2800X
Methadone Clinic
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
367101
STATE LICENSE
PA
Enumeration date
05/26/2020
Last updated
09/13/2022
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